Jane Kim, PA-C

NPI 1881320638ActiveIndividual· Physician Assistant· Fullerton, CA

Physician Assistant (PA-C) in Fullerton, California, trained at University of Southern California Keck School of Medicine (class of 2023). In 2024 Medicare paid $26,743 for 175 patients, and Part D covered 312 of their prescriptions, 86% of them generic. Qol Medical, LLC was the largest of 2 companies reporting payments in 2025, $97.67 in all, mostly food and beverage.

Overview

NPI	1881320638
Status	Active
Entity type	Individual
Credential	PA-C
Sole proprietor	No
NPI issued	Jul 25, 2022
Last updated in NPPES	Jul 7, 2026
Certified by provider	Jul 7, 2026

Specialties and licenses

Taxonomy	Code	License	State
Physician Assistant Primary	363A00000X	PA62993	CA

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Physician Assistant (CA)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	175
Services billed	414 across 40 procedure codes
Paid by Medicare	$26,743

Part D prescriptions in 2024

Prescriptions (claims)	312 · 598 30-day fills
Patients	81
Total drug cost	$23,788
Generic share	86% of claims

Medicare sources and data years

Education and affiliations

Medical school	University of Southern California Keck School of Medicine
Graduation year	2023
Medicare specialty	Physician Assistant
Telehealth	Offers telehealth